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Nevada MedicaidMedicaid · Reimbursement · Provider Announcement · NV · Sleep Medicine, PulmonologyMedium impact

Attention Provider Types 20 (Physician, M.D., Osteopath D.O.), 24 (Advanced Practice Registered Nurses), and 77 (Physician’s Assistant): Rates for Procedure Codes G0398, G0399, and G0400 Submitted with Modifiers TC and 26

Act
immediately
Effective date
Jan 26, 2026
Identified
Jun 21, 2026

Summary

Nevada Medicaid has added reimbursement rates for home sleep test codes G0398, G0399, and G0400 when billed with modifiers TC and 26 by physicians, nurse practitioners, and physician assistants. Claims with these modifier combinations will now be paid appropriately starting January 26, 2026.

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What to do

immediately · 2 steps
01Billing team should verify that Nevada Medicaid claims for home sleep test codes G0398, G0399, and G0400 with modifiers TC and 26 are now processing for payment when billed by physicians (type 20), APRNs (type 24), and physician assistants (type 77).
02Update billing staff to expect proper reimbursement for these combinations going forward.

Codes mentioned

G0398G0399G0400

Original notice

Attention Provider Types 20 (Physician, M.D., Osteopath D.O.), 24 (Advanced Practice Registered Nurses), and 77 (Physician’s Assistant): Rates for Procedure Codes G0398, G0399, and G0400 Submitted with Modifiers TC and 26
medicaid.nv.gov · Always check the source before changing claims.
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Related changes

See all Nevada Medicaid changes →
Attention Provider Types 24 (Advanced Practice Registered Nurses), 74 (Nurse Midwife) and 77 (Physician’s Assistant): Procedure Codes G0398, G0399, and G0400 Opened for Billing (Updated February 23, 2026)MediumEffective Jan 12, 2026 · Billing & CodingAttention Provider Type 74 (Nurse Midwife): Sleep Codes G0398, G0399 and G0400 Cannot Be BilledMediumEffective Feb 23, 2026 · Provider EnrollmentBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesSleep MedicinePulmonologyCode G0398Code G0399Code G0400

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